| NPI | 1043572811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 200750012NP) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OR 200750012NP) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2015-11-25 |